The British Journal of Psychiatry 175: 34-42 (1999)
© 1999 The Royal College of Psychiatrists

Ethnicity and outcome of psychosis

N Goater, M King, E Cole, G Leavey, E Johnson-Sabine, R Blizard and A Hoar
Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, London.

BACKGROUND: An excess of psychotic illness in Black people has been found in cross-sectional studies. Little is known about the outcome of psychosis in different ethnic groups in the UK. AIMS: To compare the incidence, nature and long-term outcome of psychosis in different ethnic groups. METHOD: A five-year, prospective study of an epidemiological cohort of people with a first contact for psychosis. RESULTS: Age-standardised incidence rates for schizophrenia and non- affective psychosis were higher for Black and Asian people than Whites. Stability of diagnosis and course of illness were similar in all ethnic groups. During the fifth year, Black people were more likely than others to be detained, brought to hospital by the police and given emergency injections. CONCLUSIONS: The nature and outcome of psychotic illness is similar in all ethnic groups but Black people experience more adverse contacts with services later in the course of illness.

This article has been cited by other articles:

				S. Archie, N. Akhtar-Danesh, R. Norman, A. Malla, P. Roy, and R. B. Zipursky Ethnic Diversity and Pathways to Care for a First Episode of Psychosis in Ontario Schizophr Bull, November 5, 2008; (2008) sbn137v1. [Abstract] [Full Text] [PDF]

				J. W. Coid, J. B. Kirkbride, D. Barker, F. Cowden, R. Stamps, M. Yang, and P. B. Jones Raised Incidence Rates of All Psychoses Among Migrant Groups: Findings From the East London First Episode Psychosis Study Arch Gen Psychiatry, November 1, 2008; 65(11): 1250 - 1258. [Abstract] [Full Text] [PDF]

				S. P. SINGH, N. GREENWOOD, S. WHITE, and R. CHURCHILL Ethnicity and the Mental Health Act 1983 The British Journal of Psychiatry, August 1, 2007; 191(2): 99 - 105. [Abstract] [Full Text] [PDF]

				G. Eric Jarvis, L. J. Kirmayer, G. K. Jarvis, and R. Whitley The Role of Afro-Canadian Status in Police or Ambulance Referral to Emergency Psychiatric Services Psychiatr Serv, June 1, 2005; 56(6): 705 - 710. [Abstract] [Full Text] [PDF]

				E. Cantor-Graae and J.-P. Selten Schizophrenia and Migration: A Meta-Analysis and Review Am J Psychiatry, January 1, 2005; 162(1): 12 - 24. [Abstract] [Full Text] [PDF]

				N. D. Veen, J.-P. Selten, D. Schols, W. Laan, H. W. Hoek, I. van der Tweel, and R. S. Kahn Diagnostic stability in a Dutch psychosis incidence cohort The British Journal of Psychiatry, December 1, 2004; 185(6): 460 - 464. [Abstract] [Full Text] [PDF]

				I. M. HUNT, J. ROBINSON, H. BICKLEY, J. MEEHAN, R. PARSONS, K. McCANN, S. FLYNN, J. BURNS, J. SHAW, N. KAPUR, et al. Suicides in ethnic minorities within 12 months of contact with mental health services: National clinical survey The British Journal of Psychiatry, August 1, 2003; 183(2): 155 - 160. [Abstract] [Full Text] [PDF]

				K. BHUI, S. STANSFELD, S. HULL, S. PRIEBE, F. MOLE, and G. FEDER Ethnic variations in pathways to and use of specialist mental health services in the UK: Systematic review The British Journal of Psychiatry, February 1, 2003; 182(2): 105 - 116. [Abstract] [Full Text] [PDF]

				S. Singh Commentary Advan. Psychiatr. Treat., July 1, 2001; 7(4): 291 - 293. [Full Text]

				K. McKENZIE, C. SAMELE, E. V. HORN, T. TATTAN, J. V. OS, and R. MURRAY Comparison of the outcome and treatment of psychosis in people of Caribbean origin living in the UK and British Whites: Report from the UK700 trial The British Journal of Psychiatry, February 1, 2001; 178(2): 160 - 165. [Abstract] [Full Text] [PDF]

				J. Van Os Nature and outcome of psychotic illness was similar in all ethnic groups Evid. Based Ment. Health, February 1, 2000; 3(1): 26 - 26. [Full Text]